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Vermont rates for HCPCS 50957

Ureteral Endoscopy W/Dest&/Inc W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.27 / $584.65 / $2,276.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.41 / $584.22 / $1,534.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.14 / $713.06 / $1,534.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.47 / $638.79 / $1,883.12